EDGAR JAMES BREDA JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001503

License Status

INACTIVE

Business

First Name

EDGAR JAMES

Last Name

BREDA JR

Suffix

DDS

Business Name

EDGAR JAMES BREDA JR DDS

Original Issue Date

09/29/1990

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/22/2021